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Incident Investigatin and Analysis


Chapter 1: Investigation Concepts

Chapter 2: Investigation First Priorities

Chapter 3: Physical Evidence

Chapter 4: Interviewing Process

Chapter 5: Analyzing the Information

Chapter 6: Developing Recommendations

Chapter 7: Reporting Your Findings



Table of Contents


Investigation Concepts

  • Incident Versus Accident
  • Why Investigations Are Done
  • Basic Causes of Incidents
    • Direct Cause
    • Indirect Cause
    • Root Cause
  • Canada's Investigation Standard
    • Sequence of Events
    • Contributing Factors
    • Investigation Best Practices
  • What to Investigate
    • Accident Pyramid
    • Incident Classification Systems
  • What the Law Says
  • Who Is Involved
  • Pre-Planning for Investigations
  • The Investigation Kit
  • The Steps of an Investigation
  • Accident Scene Checklist
  • Accident Costs
  • Accident Cost Calculations


Investigation First Priorities

  • Step 1: A Prompt and Safe Arrival
  • Step 2: Care for the Injured
  • Step 3: Secure the Scene
    • Remote Sites
  • Step 4: Identify Witnesses
    • Obtain Preliminary Statements
  • Step 5: Comply With Reporting


Physical Evidence

  • Step 6: Collecting Physical Evidence
    • What to Look For
    • Recording Your Observations
  • 4 P’s of Evidence
    • Parts (Physical) Evidence
    • Position Evidence
    • Paper (Documentation) Evidence
    • Preserving Physical Evidence
  • Physical Evidence Listing
  • Evidence Handling and Storage


Interviewing Witnesses

  • Step 7: Interview Witnesses
    • Who to Interview
    • When to Interview
    • How to Interview
    • Recording Witness Information
    • Information Recall
    • Helping Witnesses Remember
    • Evaluating the Interview
    • Body Language
    • Handling Specific People
  • Interviewing - Preparation

Analyzing the Information

  • Step 8: Analyze the Information
    • Basic Requirements
  • Analytical Methods
    • 5W’s
    • ILCI
    • Events and Conditions Charting
    • Energy and Barrier Trace


Developing Recommendations

  • Step 9: Develop Recommendations
    • S.M.A.R.T.E.R. Recommendations
  • Recommendations Example


Reporting Your Findings

  • Step 10: Report Your Findings
    • Section 1: Executive Summary
    • Section 2: Incident Description
    • Section 3: Analysis
    • Section 4: Recommendations
    • Appendices
    • Sharing Information


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